JEFFERY S DAVIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

INACTIVE

Business

First Name

JEFFERY

Middle

Last Name

DAVIS

Business Name

JEFFERY S DAVIS

Original Issue Date

07/08/2023

Effective Date

07/08/2023

Expiration Date

05/31/2024

City

SWANSEA

State

Zip

62226

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023